Jean-Louis, Gottfried G

Jean-Louis, Gottfried G is an individual health care provider with primary practice located at 2708 Rife Medical Ln Ste 200 , Rogers AR 72758-1452. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Jean-Louis, Gottfried G can be contacted via phone (479) 338-3080.

Contact Information

Primary practice address
2708 Rife Medical Ln Ste 200 Rogers AR 72758-1452
Fax: (479) 338-3089
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X E-6929 Arkansas

Profile Details

NPI number 1245235605
LBN Legal business name Jean-Louis, Gottfried G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2005
Last updated Dec 13th, 2011 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1245235605 NPPES
Arkansas MEDICAID 184750001

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